I started out great on Keto and a few weeks later started having episodes of Hypoglycemia. I followed your advice and added a little more carbs. Feeling great and optimistic that my health will improve. Thanks for this video. Was worried then you calmed me down.
@mattg7977 long term you cut the caebs completely. Adding carbs or tapering slowly is a short term up to 2 months thing so you can taper slower and not have rebound hypotension of feelings of carb withdrawal as well. Gl!
Not sure what are you on about guys. For last 30 days my only carbs came from cucumbers and olives. Rest was butter, meat and eggs. I will be surprised if I get 20 carbs per day. Based on what you say I should be dead from hypoglycemia already
I know this video is old, but it switched on the light for me. Explains so much. I was going so well transitioning to keto, then went full keto and began to feel terrible. Hypoglycaemia makes sense along with low BP. 🇦🇺
when you get yourself healthier using keto , paleo or carnivore diet and some fasting, the weight does come down and stay down. once you get fat adapted you don't tend to suffer the effects of hypoglycemia anymore. great video dr sten
What u mean I'm on carnivore but I'm having nocturnal panic attacks because of hard hypoglycemia what can I do? I don't want to stop the diet but I don't want to die from hypoglycemia either
Thank you for this. I'm not diabetic but I feel pretty sure I'm hypoglycemic. I was in the store just now & my heart started racing & I broke out in a cold sweat. I thought I was going to pass out. I struggled to get to my car. I was living on a very high carb processed food diet. I went cold turkey & I have been faithfully following keto & intermittent fasting & have lost 20# for about 6 weeks. I have had episodes like this even while eating processed foods if i didnt eat often enough. I was planning on fasting today & and tomorrow, but after watching your video, I see that's not a good idea. I need to find a dr who will listen to me. My dr is basically a pill pusher. Because my stats are all good, he just tells me to keep up the good work.
Avocado (potassium)! Eat 1/2 as snack after dinner, hydrate, hydrate (electrolites grey celtic salt, Magnesium glycenatee).It's working for me while I become fat adapted 😊
I'm on week 4 of extreme keto and am suffering with major hypoglycemia. I went straight from high carb to almost no carbs in a few days. I don't want to eat more carbs but I suspect my adrenaline system is broken from massive overuse. I'm 42 and spent about 28 of those years in a state of high anxiety and depression. Keto has helped me so much, I want to stick with it but may need to re introduce a few things I previously cut out like dairy, tomatoes and peppers.
Yes Alex Morgan, it sounds like you shocked your system. Like you said it is easier on your body if you slowly transition especially if you ate a very high carb diet.
I've noticed far more energy since then without changing anything. It just took me a while to adjust. I still get sluggish around lunchtime in work but that might be related to being bored and stressed as I do not suffer from it when I'm at home on weekends at all! I've finally weighed myself and have lost a lot of weight so perhaps losing too much in less than 1 month contributed to feeling so weak on occasion.
Watched this after feeling super weak. Been doing keto for a few weeks, it’s possible that since I’m getting better at avoiding carbs I’ve hit this point
Low energy Many metabolic changes need to take place in your body in order for you to switch from using fat for fuel instead of glucose. And while this process unfolds, it's common to experience periods of fatigue, weakness, and brain fog as your body reserves energy for the aforementioned metabolic processes
@@_____J______ thank you for your comment. 10 weeks on carnavore yet had to add a small amount of fruit back in and summer squash. Still feeling weak and having cramping issues.I take electrolytes and Redmonds salt. 😬
I’m an all in kind of guy and what you are saying here is such a blessing! When I was told that I had become A T2D I went crazy! I came home and filled the dumpster with every carb in the house! May God forgive me for what I put my family through! My wife and kids suffered terribly! I have done great but they don’t share my discipline… videos like this give me the wisdom to be gracious and give it time. Thank you sir for all that you do to bless others…
Oh thank goodness! This is exactly what I needed to hear today. Keto/carnivore for 2 months. Spent the weekend in hospital with hypertensive crisis and low blood sugar. This makes a whole lot of sense. Will go to GP now armed with better information. Thank you so much. Mx
Avocado (potassium)! Eat 1/2 as snack after dinner, hydrate, hydrate (electrolites grey celtic salt, Magnesium glycenatee).It's working for me while I become fat adapted 😊
So now I understand what is happening to me! I never had my blood sugar tank before I went on keto, and I've been at a loss as to what to do about it. Thank you so much, Dr. Sten! I didn't know what to do, and it is ever so easy to lose weight on keto, since it takes all of my cravings away, so I didn't want to go off of keto. But you explained it so well to me. I will eat more low glycemic cooked carbs and hope by eating more carbs this blood sugar tanking (after I eat a meal) will go away. I sure do appreciate your taking the time to make this video. Thanks very much.
Hey there, I know this is an old comment but could I ask how you progressEd after this? Did adding in some low glycemic foods help? I've been experiencing this hypoglycemia recently and looking to make some changes as suggested.
@mattg7977 It works! I also had similar problem on my 4th month of keto. I did a lot of endurance training and that was wrong while on keto! Felt like having a heart attack. Went to ER and got all checks. My heart tested with ecg and result was perfect heart health! I got hypoglycemia , I got vitamins and medicines also add carbs to my keto (banana, raw oat and papaya also some root veggies). I am feeling good again now. Still continue Keto and will adjust accordingly when feeling not right!
I have been doing low carb, then keto for five months, and suddenly, I am having hypoglycemia - nothing has changed in five months (except I lost alot of weight). I wonder what's going on? 10 years ago, I used to have hypoglycemia, and I got rid of it by following the paleo diet. It worked for weight loss and "cured" my hypoglycemia. It was great to be free of that, and not have to carry snacks everywhere. However, I did alot of recreational eating since the pandemic, gained weight, ate poorly - went back to low carb, then keto, lost weight and it was great, but now, for the first time in years, I have that hypoglycemia back! I would sure like to know why.
Avocado (potassium)! Eat 1/2 as snack after dinner, hydrate, hydrate (electrolites grey celtic salt, Magnesium glycenatee).It's working for me while I become fat adapted 😊
Perfect. I am hypoglycemic. Whenever I go really low carb I immediately start having problems. I was always confused and couldn't figure out what was wrong. Thank you so much.
@@Wisethinker527 yeh lol thats how it is. Anxiety plays a part in it. Try increasing your protein by a lot. Seriously 4 eggs for breakfast and get protein shakes (low carb) in your diet. Hopefully help your liver produce glucose
@@Xbot4Life oh brilliant thanks for your advice. I think I'm not eating enough fat and protein that's the problem. But to be honest even when I do eat fat and protein I still get the lows in blood sugar
@@Wisethinker527 1 of two reasons. 1. Liver not producing glucose, do you have fatty liver? get tested. try my protein thing first 2. You have high insulin, eat lots of low GI foods for your carbs and plenty eggs and high quality whey powder. That should reduce insulin in a few days but do it for at least a week. buy Choline and Milk Thistle. Im assuming you have non-diabetic hypoglycaemia. if youre diabetic then listen to Jason Fung on YT Either way, it can be fixed, its just finding what the cause is
I've had it since I was a child. Most doctors I've ever seen think it doesn't exist. . . I eat keto/atkins style and it has made a tremendous difference in how my mind works, my digestion, my hunger hormones, weight gain, my energy levels, and overall mood. I have found for myself that its better to get a lot of non-starchy green vegetables in the diet [mostly for fiber, additional minerals/vitamins, and to slow down digestion] and monitor my hydration and electrolytes like a hawk in addition to eating fat and protein with every meal. I DO NOT feel good if I fast, and will be off-kilter most of the day after skipping meals. I stick to three small meals a day and snack as needed.
Excellent presentation as always Dr Ekberg. I think it would be very beneficial to provide video specifically on the strategy to become fat-adapted. We hear all the time how keto will result in becoming fat-adapted, but it would be great to understand the specific strategy.
I had LOW BLOOD PRESSURE because i stopped eating sugar. I noticed that my prostate drug (FLOMAX) would also lower my BP! I couldn't stop the Flowmax! Timing was the key! I waited until noontime to take it and avoided the effects!
I was diagnosed hypoglycemic in 2000 weighing 175 pounds and 5’10”. August 2021 now 50Y/O I weighed 255 and started the keto diet. Clean and strict. Now 4 months later December 2021 I have lost 47 pounds. 2 days ago I started fainting. I have fainted 3 times in the last two days. 3 months ago. September. I had a physical. All was good but insulin was a touch high and blood pressure was a touch high. Yeah I know. I’m calling my dr. And getting my blood work rechecked. Just want to let people know if you don’t do this by the numbers stuff can happen. I’m learning more everyday. We’ll see what happens from here.
Thank you so much Dr! I had an hypoglycemia right now on my 3rd keto day. Previously eating sugar cakes for 4 years. I will step in gradually ... Keep motivation on 💪🔥
Avocado (potassium)! Eat 1/2 as snack after dinner, hydrate, hydrate (electrolites grey celtic salt, Magnesium glycenatee).It's working for me while I become fat adapted 😊
Another top notch episode, especially as a Type 1 Diabetic. I started Keto about 4 weeks ago and great results so far. Insulin down from 75 to 20, ketone level always between 3.5 and 4.0, 36 hour fast was great, and lost 11 pounds and 2 inches from stomach. Your videos are informative and inspirational! Thanks so much!
@DaryaRyanPhotography no there isn't.. not yet. They are type 1 diabetic so the insulin they reduced is their INJECTED insulin, not blood insulin levels. 🙏
Thank you, this was very useful. It explains what is happening to me exactly. I will add back some good carbs and drop them slowly. I went to drinking alcohol every day to strick keto. Bad idea. I thought I developed diabetes.
Hello Dr. Ekberg, thank you so much for all this infos! I have adrenal fatigue... so I think it would be safer to start moderate/low carb, about 50g carbs from veggies and some starch and to lower very very slow and give the body the time to learn burning fat for fuel, and then slowly go keto
Avocado (potassium)! Eat 1/2 as snack after dinner, hydrate, hydrate (electrolites grey celtic salt, Magnesium glycenatee).It's working for me while I become fat adapted 😊
I have done Keto for two years with excellent results but now I was diagnosed with insulinoma and due to my symptoms I had to stop Keto. I hope to have the tumour removed and go back to Keto
Through glucose testing and ketone testing, i've learned a lot about what foods to eat and how much proportion. These videos have been really helpful. Thank you!
I agree with you Dr Ekberg., I do okay on lower carbs like 65 gram total carbs, I do not do well on a ketogenic diet. My HBA1c is now at 5.4% from 7.6.% Three years ago. I have lost 85 lb,yes I hope to 20 more lb, but more to lower my blood sugar and improve my sleep apnea.
Thank you so much Dr. Awesome explanation. I was in strict paleo diet for tha past 52 months. But now I am in carnivore diet.But sometimes I feel hypoglycemia. At that time what's the remedy? Please explain in your next video. Thanks 👍
Doctor, I really loved this video. I am type 2 diabetic and I have been slowly going keto for the last year. I still have sweet potato once awhile. The other day I was working out with my trainer and I noticed I was really shaky and had to drink a random grapefruit juice my husband had on his side of the fridge. I have never felt myself crash so hard. Could you possibly do a video or give any advice on how to avoid hypoglycemia and the dreaded crash. You touched on it a bit in this ☝️ should I be glucose monitoring. My last bloodwork panel showed my type 2 was finally stabilized but my cholesterol was still high. Could this be a factor for my crash? Thanks for the advice!
Thanks, today was my 6th day of Keto, but tonight was about to lose consciousness, had checked blood pressure and blood sugar , blood pressure was normal but blood sugar was 62 mg/dl, so I ate sugar, had no choice
I’m absolutely trying this. Got diagnosed with hypoglycemia a few weeks ago and I’ve been struggling on how to cure it. Not bandage it. Wish me luck! 😊
Fasting for 6 days. Tonight my Glucose 36 ketones 5.6. It’s the lowest I’ve been so far. I wasn’t feeling badly, just some minor cramps in my calf muscles. Decided to switch from fasting to time restricted eating once a day.
Could you also do a video on reactive hypoglycemia? When intermittent fasting 16-8 I'm often experiencing lowered blood glucose after eating in the afternoon, and it makes me feel fatigued and sluggish after eating. Have I become too insulin sensitive? Am I eating food that causes the insulin to spike without increasing blood glucose at all? I have never been overweight or insulin resistant, I have just been eating gradually more and more low carb over the years as a preventative measure. Lately I have also started intermittent fasting and eating two meals a day. I typically eat lunch around 2-3 in the afternoon and dinner around 7-8 in the evening. Now I'm considering extending my fast to a 20-4 pattern and eating nothing before dinner, just to avoid that feeling of low energy level after lunch.... Update: I was still hanging on to a few of the old carbs when I had this problem. Now I have been completely keto for the last 6 months or so, and I have gradually had less problems with reactive hypoglycemia during this time. I guess it just takes a while to get properly adapted...
If hypoglycemic after eating, insulin is high. The only explanation is insulin is high all the time, when you say it goes low without eating. That is hyperinsulinemia if not insulin resistance. This video is what you explined 🤗
Yes, the quality of the carbs could be the problem. If it's processed bread, pasta, high glycemic index foods/fruits or smoothies, it's too much to be digested in a short period of time and pancreas releases too much insulin... makes us RH'ers too tired. Eat a lot of veggies, 7-10 cups spread over the 2 meals, eggs, low fat meats, healthy fats such as nuts, seeds and Avocados, low glycemic fruit like berries. I find when I do those things, and if I have whole wheat bread, minimize my bread carbs to one piece, I have a better time with it (up to 20 net carbs/ meal), it helps.
Great information! Thank you! I needed this information but I still struggle with hypoglycemia. I was raised on real food my entire life. I'm 62 and weigh 125 lbs. Never more than 130 in my life. I want to continue to eat this way (Keto) but my blood sugar drops so low, get the shakes, sweat profusely, can't stand up. I throw some carb down and I come out of it. What's up? Feels like I'm forced to eat food that I don't want. Any ideas?
I'm a nurse and I should have seen the signs. I've been on keto for 6 months and I'm faithful to the regime. I've lost over 50 pounds. I've been doing Intermittent fasting. I was feeling a bit woozy last night. It occurred to me to take my blood glucose level. It was 52. The number freaked me out a bit. I asked myself "What would you do if you were your patient"? I knew I needed carbs but I didn't want to slam sugar.( the nursing protocol is orange juice or this sugar goo in a packet). I ate some lentils with tomato sauce. Good enough. My BGL was 87 in a few hours. I'll be more careful in the future.
Good thing I chanced upon your video bec just this morning that i was surprised to see my blood sugar dropped to 3.5mmol. Was in high carbs and went to clean keto right away. Been Doing this for 3 wks now and trimmed my weight fr 60kg to 51kg but felt dizzy as days go by. Now i know to add little carbs and perhaps do paleo diet instead.
I am so thankful for your lectures. I run full 3day fasting successfully, but before that i suffered from hypoglycemia. all this time i hardly believed that i will not be able to skip certain eating times, but now i see that connection much clearly. it is already 2nd week of OMPD with Keto, and i feel much more energetic, also weight is going down what i couldn't move for even a kg for many years. Before that i was already familiar with water meanings so this part was easy for me. It was risky, but i felt i have to try such combination and i feel free. Thank you!
Thank you for this!!! Exactly what I needed to know. I started keto last March and 1week into it a all of a sudden got instantly dizzy and hyperglycemia and had bad panic attacks and ended up in the hospital! I was out on anti anxiety meds on and off the last year and the last one ( mirtazapine ) I just got off of and I’ve been having hormonal issues and mainly sweaty feet on and off along with hungry every two hours or so the past few weeks. 🤦🏻♀️ Hope to be able to figure out what I need to do to reestablish hormonal / gut balance. How long does it usually take to rebalance your system if you’ve had such a crash like this? Any tips?? Thanks
@@mattg7977 hi Matt 👋🏼 yes, I’m finally really stabilizing. My story is a bit complex because after my keto crash I also got covid which added more stress to my already stressed out body but I’m happy to say much better now 🙏🏼😌 when I tried the keto diet i basically went carnivore with it. I think because i went extreme with the diet along with yeeeears of being a high carb eater and junk food eater prior it was just too much for my system. 🤪 and then when i got covid and that just made things complicated for me. Of course everyone’s needs and journeys are different but that was mine and super grateful I’m much better 🙏🏼😌 i believe everything is figureoutable. 🙂 not sure what your story is but i hope you feel better soon!!
@@mattg7977 a few things I did that I feel helped me heal were lowering stress where I could. Being out in nature, grounding, meditation were a few helpful tools i used, pacing myself especially with exercise ( so slowly increasing and starting with things like gentle walks, stretching or qigong) and eating more Whole Foods like fruits, veggies, rice, potatoes, meats and natural fats like avocado. And of course patience. 🙂
That helps some I guess. I started keto about 6 months ago for both type II and weight/blood pressure. Lost 60 lbs but suddenly stopped losing the weight and would like to drop another 20. My glucose isn't a problem normally now. I eat very few carbs, closer to 0 than 20 per day. My normal glucose all my life has been at 100 after fasting 12 hours. Now it's more in the 90's. Problem is I was fasting a little over a day about a week ago with glucose running in the 80's until it bombed to 66. I was instantly nauseated and dizzy to the point of fear of falling out. That was not expected. I am definitely in ketosis and expected the ketones to be feeding my brain. Obviously not. Go figure..... Kinda lost at the moment. No way this means I'm thinking of stopping keto. Far too many gains I've experienced to back up now. Not to mention the 60 lb loss and I'm not gaining an ounce since I froze. Just wondering how to proceed from here.......
I was on clean keto diet with IF , on 4th month my body system crashed because after I passed 3rd month I started doing morning walk for 2 hrs and swim for 1-2 hrs. I made a mistake for not fueling enough before and after endurance workout! Also I forgot the rule of keto for not doing endurance exercise while long hrs dry fast! I was rushed to ER with heart palpitations, very weak body almost faint, whole body I felt like dying from heart attack. Doctor did ECG for my heart with excellent result! My heart health is perfect! They put needles and have two bottles of medicines/vitamins into my body! After 2 hrs treatments in the hospital. I am now recovering with vitamins, some digestion pills, introducing more carbs to my keto ( fruits like banana, papaya, raw oat and green vegetables). Still I am continuing my keto but if I am into my workout I prepare my body with fuels also post WO! I feel much better now.
Love your videos, you are so clear, a great teacher! I was diagnosed with type 2 in September A1c 17!! Went on low carb and meds. Made excellent progress. A1c in Jan 6.3. Came off all meds in early December. Bloods in 5s - 7s IF 16:8 going well. Today had low carb lunch as usual, this evening BG 3.9. What is happening? why so low when used to low carb and not on meds? Can I trust what I'm doing? Blood went up after I ate. Would love your opinion, thanks
This might be me after almost one year of low carb I have severe chronic hypoglycemia symptoms that no doctor could ever explain to me. I need to sit all day and get exhausted after very short walks. I have heavy chronic disbyosis, dead teeth’s, knee pain, my liver might be so weak due to the toxins from the bacterias that the liver can’t regulate the sugar levels and I get stressed out due to too much cortisol, I have literally all the symptoms of hypoglycemia, just a few steps before going to the hospital. Ate two potatoes this evening and already feel better and have less cravings. I hope adding starches will ease my hypoglycemia long term and that I can one day solve my dental and digestion issues. Wish me luck. Would be so nice to have a doctor like him where I live.
Great video and information. Your approach to disseminating knowledge is powerful to the extent that the audience will hardly miss whatever information is being put forward.
Yeah, thats my case. On keto for 3 weeks now and experienced ketosis twice so far, each time for around 10h. But mostly feeling like crap and barely can function normally. Yeah, but I have liver issues so maybe that is why. If I do just a small amount of carbs - everything goes back to normal. But still trying not to going back to carbs - ketosis is mind blowing.
Avocado (potassium)! Eat 1/2 as snack after dinner, hydrate, hydrate (electrolites grey celtic salt, Magnesium glycenatee).It's working for me while I become fat adapted 😊
Id like more info on slowly transitioning from high carb to low. I didn't have much trouble the first time i did keto, but its been 6 years and im starting over and im feeling ligh headed and thinking I need a slower start.
Thank you, I take selenium, natural calm magnesium, potassium, boron, and iodoral. Heart still racing, I thought I maybe taking too much. Thanks again.
I'm currently three weeks in and my heart beat is up but at night it's worse, beats heavy. I've been doing 12g of salt a day. I had to eat some potatoes and toast the other day and felt much better. Next day I was up around the house doing DIY. Lots of people talk about electrolytes, but I'm not convinced as how comes as soon as I had carbs I was fine. I think some people can't keto adapt or have metabolic issues, I'm one of the unlucky ones. I think I'll keep trying but up my carbs a bit just enough to get me through then during day eat no carbs until I feel funny. This normally takes me out of Ketosis but by the evening I'm peeing ketones again, which is when I feel.weird, but it might help my body transition in time. There's not many Keto videos on this and this is the only video I've seen which relates to our issues.
Hi Sten, I have a question. I have been clean Keto for 5 months as all going well. My blood Glucose has been coming down incrementally - at the start it was regularly 110-130 fasting so pre diabetic / diabetic levels although I was never diagnosed. Fasting levels are now generally 90-100 so much better. Last night however I decided to check my glucose 1 hour after eating and it came back as 76. I am not sure if this is something I need to worry about or whether it is just my body taking time to return to normality. It seems that I am still getting an insulin spike after eating to deal with carbs that I am no longer eating? Does that sound feasible to you? My meal last night was 1.7g of carb and 14.9g total carbs for the day. I would appreciate your thoughts on this - Thank you 🙏
My Hba1c was ideal at 4.8 , but I had bad arthritis pain , tried a low carb no carb mostly meat . My pain was gone ! I was using stevia in my coffee everyday and found out it causes hypoglycemia if youre doing a diet like that . Dang it ! Just cant win ☹️
I went from a high carb, high sugar since I was a teenager. Reached 150 kilos at 60 and after watching your videos overnight I stopped all processed foods, anything with sugar and swopped oils to macadamia or cold pressed oil and only whole foods. I also stopped all fruit and any starchy vegetables. I wanted to stop inflamation and get my body in a better place. I have been doing this for 12 months and what I thought was anxiety my doctor says it was hyperglycaemia. I had to increase my intake to 300 calories 3 times a day with 3 150 calorie snacks inbetween. I still feel horrible and I dont know what I have to do to feel better. My type 2 diabetes as stabilised. I now weight 95 kilos and can now do more than I ever could but still feel horrid. Can you help me?
Every now and then mostly in the morning if I bend over to pick up something when I get back up I feel dizzy. I been on the keto diet for 9 months and I loss close to 80 lb.s I'm at a desired weight but what can I eat in the morning that will keep my blood sugar stabilized?
This is a great video. Seems i need to do some more work in order to make slower changes. Ive had a high carb, but natural carb diet. Gotta roll this back.
I have been keto/carnivore for 2 years. For 18months I was very well all markers improved all issues resolved. Then I started to feel shaky and now insomnia too. It's scary. I never had measurable Ketones. I will now try adding in some complex carbs. I will try adding back some carbs.
Make sure you're also getting enough protein, generally defined as 1 gram of protein per pound of ideal body weight. Some people might need more if you have severe injuries or women who are pregnant. This can be a challenge for women to get enough so it's good to track it for a week to see where you are. Not enough protein can cause both of those symptoms. Also check out Dr. Berry's video of signs of low protein. Salt can also be an issue. If you get dizzy when you stand you need more salt/electrolytes.
@@elizabethwhite1068 Thanks for your reply Elizabeth Actually my problem may have been too much protein. I had some Advice from a LcHF GP. I was breaking down protein and making sugar, not burning fat. I did a 3 day Sardine fast which got my Ketones up and have stayed in ketosis by eating higher fat and moderate protein. My symptoms are all gone and I'm feeling very good again 😊
I tried using a continuous glucose monitor (CGM) and I found I went hypoglycaemic at night. Didn’t have any ill effects but would be interesting if dr Ekburg could do a video on this.
I started KETO back in 2012 and stayed that way for a good while. But when stress in life gets to be too high, I will resort to comfort foods like ice cream/carbs. So my poor body had to keep going back and forth, adjusting when I'd fall off the wagon. I just came off such a time and went back to carnivore, which is good to stop the carb cravings, but for me it isn't sustainable especially with weight training. I started feeling shaky..... I knew it was my blood sugar, so I was eating about 1/2 apple before working out. Still didn't feel super but I figured it was b/c I was, once again, transitioning. Yesterday I was in a rush & just took my Perfect Amino drink w/some C powder..... a couple hours later while on the road I just ate 2 of my beef sticks. When I got home I felt REALLY shaky so took my blood and I was at 68. I immediately ate the rest of the apple, drank some organic heavy whipping cream mixed with soda water & a little stevia drops and laid down for a bit. It stabilized but it made me begin more research and I know I've got to start at a slower pace, which this video confirms..... AND stop with the up and downs with carbs. Thanks so much for this video. It really did explain a lot and confirmed my takeaway !
Good day Doc! Im into Intermittent Fasting "TMAD" Twice Meal A Day 16:8 Method for several months. Im TYPE 2 Dietetic for 22 years and on medication prescribed by my doctor. GLIBEN before Breakfast and METFORMIN after, GLIBEN again before Dinner and METFORMIN after. I'd like to ask if there is an adjustment for my medication schedule since its probably Lunchtime already when I eat food? watching from Philippines...
I started keto but here I am 2 months later getting dizzy spells, tingling in my arms, I passed out once, and extreme fatigue and anxiety. I wonder if this could by Hypoglycemia?
@drekberg what's the lowest glucose number before ketones won't be in use for fat burning? 5th week in keto lifestyle. I make great ketones averaging 2.5, but blood glucose is 67-75... waking up at night because hypoglycemia Thanks
Sir my wife went on keto diet nearly 4 months .she did it to prevent cancer growth. One month back she under gone sever hypoglycemic shock now she is some what stable .But tumor start increasing .is it right to start keto diet again.what measures I have to take to prevent hypoglycemic shock again?
I started strict keto diet 1 year ago (carnivore), eating nothing but meat, diary and fruit (an apple per day). I have insuline resistance and IBS, both of which improved drastically. However, for the past week I started getting hypoglycemia episodes out of nowhere, I even lost conscious once. The doctors told me I should incorporate more carbs and that the fruit is not enough. Shouldn't my body have been adapted by now?
What testing you doing your office? How is this test done? I really need to show to my doctor. I’m a type one diabetic struggling to gain weight so please what testing do you do in your office? I think you mentioned in the video, it’s a test that tells you what is stressing the body organs, I don’t know your exact verbiage but I think you know I’m talking about if you could please tell me how you do this test on your patience so I could show my doctor to help me better🙏please, tysm
Never checked my blood glucose levels before, but I recently got a meter to check ketone levels and since it can check BG levels as well I thought I might as well check both. I freaked out when my BG reading was 73! As I understand it that is on the verge of hypoglycemia, and that wasn't even fast. I ate dinner about 5 hours previously though to be fair I haven't really had more than about 2g carbs all day. If that. I'm going to need to keep a close eye on it.
What about while breastfeeding and/or pregnant? I was keto (mostly carnivore) before my first pregnancy (for around 6 months) and had no issues with hypoglycemia, even after abruptly cutting out carbs, but I added carbs back in when morning sickness struck, and I was averse to fat and protein. Since that pregnancy, I've tried countless times to get back on keto (through two more pregnancies and breastfeeding each baby without stop), but each time I get down to around 20g carbs (even after slowly easing out of carbs), I end up with severe hypoglycemia (with vomiting, extremely blurry vision, extreme weakness, almost passing out, etc.). Is it possible for breastfeeding to make 20g simply too low? Or is it more likely that I'm still not easing out of carbs slowly enough? I really want to be keto for my health, but I feel like I'm failing when I can't seem to stick to 20g carbs or fewer.
Eat more protein on your keto diet and it will help. Because Protein reduces to glucose at the end of the day. It has other things obviously, but this is a much better method than carbohydrates imo. In summary don't go so hard on Keto, build up your ability. So start with more protein and not straight to a 75% fat. It won't end well.
Hi Dr.Sten does low carb diet or keto diet can induce insulin resistance i came across video witch tells that those type of diets can induce type 1 diabetes.I m on low carb diet under 100g a day .Recently start having morning headaches even felt sweat flashes ,presuming my insulin very low does it safe in general? Thank you.
Hello Dr. Ekberg, Thank you for the wonderful nutritional education. I am 52 and eating a keto diet/IF and just started measuring my blood glucose and ketone levels, ketones were .09 - 1.5 and 81-86 glucose in the mornings. I decided to do a prolonged fast ( I have done a 10 day about a year ago, and a 5 day a few months ago without a problem, but no meter) At 34 hours into fast (morning) readings were 67 glucose, 2.0 ketones; 48 hours into the fast at 10:00 p.m. my glucose reading was 52, with a ketone of 4.8. My question is - is this okay? I realize this is low blood sugar, but since my ketones went up - providing an alternate fuel source - I am hoping this is not dangerous. Feeling tired, but that is usual for me on day 2 of a fast. My mom had hypoglycemia so, just a little worried, but would like to continue with fast if I can safely. Any help would be greatly appreciated. Michelle
I get the exact same as you. my glucose was 3.8mmol/l (68.4mg/dl), ketones 1.8 It seems that when my ketone are very high, my glucose drops. A few weeks ago my Ketones were above 8 but I dont know how far above because the Keto Mojo only goes up to 8.0. I didn't think to check my glucose at the time.
So...my situation is that I once had low blood sugar, and many episodes indicating such (shakiness, weakness, brain fog, etc.), but NOW I have been struggling with elevated blood pressure (was high, but only reaches elevated last two weeks), and it's the worst feeling I have ever felt. I often feel like I could check out of here at any time, yet here I am. Haha. I have been fasting and such and doing Keto, but my research led me to discover that low blood sugar could actually cause HPB, which I thought was weird to switch from one to the other. Now I'm confused about what would be safe for me to do at this point. What should someone in my case do ?
This may well explain my tachycardia on day 5 of my keto diet, the same day my ketone strips were showing a large jump in ketones. I assumed the keto diet was putting my body under too much stress and the tachy was being caused by cortisol.
This makes so much sense! I have had low blood sugar the last 9 months (it started in pregnancy) Now that I am keto, it still drops! Interesting enough, I found carrots help this issue
@@jackdaniels9133 I agree they have sugar. I'm no longer keto btw. I discovered Mastering Diabetes on youtube and am almost healed! The keto diet was helping at first, but then I was progressively getting worse
Loved this one.. after years of bad lifestyle and poor food choices especially sugar , I stayed a week with no sugar than tried keto with intermittent fasting 24h 1 meal a day, after 3 days I felt weak, dizzy and almost fainted.. good thing that I stood down and had a glucose tablet and some sugar and carbs.. now I know I need to take it slower!
I do have Hypoglycemia on Keto diet (from 55 to as low as 41mg/dl). You recommended add some carb back to my diet, however m, the problem is if I do that, the post-meal glucose spike will exceed 300mg/dl (from my CGM). My endocrinologist has no idea at all. What should I do?
I’m nervous! I have decreased my carb intake and had steak green beans and a sweet potato last night and for breakfast steak and eggs and I went to take a walk before dinner and had to turn back couldn’t do 2 miles just one mile for feeling weird and light headed and ill Took my temperature it was normal, took my blood sugar and it was 105. It’s a good sign it’s coming down but it feels awful. I drank some sea salt water and came to RUclips to figure out how come a little dip caused such commotion?
Dr. E., your example of hypoglycemia depicted in the video was a blood glucose of 15. Diagnostically, where does hypoglycemia start? I'm also aware that someone used to higher blood sugars can be symptomatic of hypoglycemia without actually being hypoglycemic - could you comment on that either here or in another video?
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Dr. Sten Ekberg sir what is the lower limit of glucose that we should maintain when we are keto process
Awesome content! What do you consider ‘medium carb’ and ‘high carb’. Like, how many carbs a day fits into these categories?
I had blood sugars of 2.7 in the night 6 months after being on a keto diet. Never had hypoglycaemia before. It’s only at night though… why?
I started out great on Keto and a few weeks later started having episodes of Hypoglycemia. I followed your advice and added a little more carbs. Feeling great and optimistic that my health will improve. Thanks for this video. Was worried then you calmed me down.
Hey Pepe - I know this is an old comment, but did adding back in some carbs help you out longer term?
@mattg7977 long term you cut the caebs completely. Adding carbs or tapering slowly is a short term up to 2 months thing so you can taper slower and not have rebound hypotension of feelings of carb withdrawal as well. Gl!
Keto did the same to me I could hardly walk and it got to 40 several times
Same thing happen to me week 2
Not sure what are you on about guys. For last 30 days my only carbs came from cucumbers and olives. Rest was butter, meat and eggs. I will be surprised if I get 20 carbs per day. Based on what you say I should be dead from hypoglycemia already
I know this video is old, but it switched on the light for me. Explains so much.
I was going so well transitioning to keto, then went full keto and began to feel terrible. Hypoglycaemia makes sense along with low BP. 🇦🇺
Me too! Did you add in a few more carbs to transition more slowly?
@@JulesBeehive I actually discovered I was not eating enough saturated fat. Had to up the butter and fat on meat. All came right.
@@deirdrewalsh1134 ah, thank you. I may try that too 🙂
@@deirdrewalsh1134really?
when you get yourself healthier using keto , paleo or carnivore diet and some fasting, the weight does come down and stay down. once you get fat adapted you don't tend to suffer the effects of hypoglycemia anymore. great video dr sten
Exactly. Good to see you Spive21
This sounds like an answered prayer to me! Can't wait till I get there!
What u mean I'm on carnivore but I'm having nocturnal panic attacks because of hard hypoglycemia what can I do? I don't want to stop the diet but I don't want to die from hypoglycemia either
@@ivyjulesyeah its flight or flight response that didnt let me sleep no matter what, did you maintain keto or go back to regular diet?
Thank you for this. I'm not diabetic but I feel pretty sure I'm hypoglycemic. I was in the store just now & my heart started racing & I broke out in a cold sweat. I thought I was going to pass out. I struggled to get to my car. I was living on a very high carb processed food diet. I went cold turkey & I have been faithfully following keto & intermittent fasting & have lost 20# for about 6 weeks. I have had episodes like this even while eating processed foods if i didnt eat often enough. I was planning on fasting today & and tomorrow, but after watching your video, I see that's not a good idea. I need to find a dr who will listen to me. My dr is basically a pill pusher. Because my stats are all good, he just tells me to keep up the good work.
Avocado (potassium)! Eat 1/2 as snack after dinner, hydrate, hydrate (electrolites grey celtic salt, Magnesium glycenatee).It's working for me while I become fat adapted 😊
I'm on week 4 of extreme keto and am suffering with major hypoglycemia. I went straight from high carb to almost no carbs in a few days. I don't want to eat more carbs but I suspect my adrenaline system is broken from massive overuse. I'm 42 and spent about 28 of those years in a state of high anxiety and depression. Keto has helped me so much, I want to stick with it but may need to re introduce a few things I previously cut out like dairy, tomatoes and peppers.
Yes Alex Morgan, it sounds like you shocked your system. Like you said it is easier on your body if you slowly transition especially if you ate a very high carb diet.
I've noticed far more energy since then without changing anything. It just took me a while to adjust. I still get sluggish around lunchtime in work but that might be related to being bored and stressed as I do not suffer from it when I'm at home on weekends at all! I've finally weighed myself and have lost a lot of weight so perhaps losing too much in less than 1 month contributed to feeling so weak on occasion.
I was 225 lbs and am now 205 lbs and that difference took place over just 4 weeks!
@@almor2445 did you have to reintroduce carbs into your diet to feel better? Are you still on Keto?
@@almor2445 good for you.
Watched this after feeling super weak. Been doing keto for a few weeks, it’s possible that since I’m getting better at avoiding carbs I’ve hit this point
Low energy
Many metabolic changes need to take place in your body in order for you to switch from using fat for fuel instead of glucose. And while this process unfolds, it's common to experience periods of fatigue, weakness, and brain fog as your body reserves energy for the aforementioned metabolic processes
Don't forget to take electrolytes. They also help keep your energy levels more even.
@@_____J______ thank you for your comment. 10 weeks on carnavore yet had to add a small amount of fruit back in and summer squash. Still feeling weak and having cramping issues.I take electrolytes and Redmonds salt. 😬
I’m an all in kind of guy and what you are saying here is such a blessing! When I was told that I had become A T2D I went crazy! I came home and filled the dumpster with every carb in the house! May God forgive me for what I put my family through! My wife and kids suffered terribly! I have done great but they don’t share my discipline… videos like this give me the wisdom to be gracious and give it time. Thank you sir for all that you do to bless others…
Oh thank goodness! This is exactly what I needed to hear today. Keto/carnivore for 2 months. Spent the weekend in hospital with hypertensive crisis and low blood sugar. This makes a whole lot of sense. Will go to GP now armed with better information. Thank you so much. Mx
Avocado (potassium)! Eat 1/2 as snack after dinner, hydrate, hydrate (electrolites grey celtic salt, Magnesium glycenatee).It's working for me while I become fat adapted 😊
So now I understand what is happening to me! I never had my blood sugar tank before I went on keto, and I've been at a loss as to what to do about it. Thank you so much, Dr. Sten! I didn't know what to do, and it is ever so easy to lose weight on keto, since it takes all of my cravings away, so I didn't want to go off of keto. But you explained it so well to me. I will eat more low glycemic cooked carbs and hope by eating more carbs this blood sugar tanking (after I eat a meal) will go away. I sure do appreciate your taking the time to make this video. Thanks very much.
Hey there, I know this is an old comment but could I ask how you progressEd after this? Did adding in some low glycemic foods help? I've been experiencing this hypoglycemia recently and looking to make some changes as suggested.
@mattg7977 It works! I also had similar problem on my 4th month of keto. I did a lot of endurance training and that was wrong while on keto! Felt like having a heart attack. Went to ER and got all checks. My heart tested with ecg and result was perfect heart health! I got hypoglycemia , I got vitamins and medicines also add carbs to my keto (banana, raw oat and papaya also some root veggies). I am feeling good again now. Still continue Keto and will adjust accordingly when feeling not right!
I have been doing low carb, then keto for five months, and suddenly, I am having hypoglycemia - nothing has changed in five months (except I lost alot of weight). I wonder what's going on? 10 years ago, I used to have hypoglycemia, and I got rid of it by following the paleo diet. It worked for weight loss and "cured" my hypoglycemia. It was great to be free of that, and not have to carry snacks everywhere. However, I did alot of recreational eating since the pandemic, gained weight, ate poorly - went back to low carb, then keto, lost weight and it was great, but now, for the first time in years, I have that hypoglycemia back! I would sure like to know why.
Hi Shirley, did you figure it out? I am curious to know what caused your hypoglycemia and if you found a solution.
@@DaryaRyanPhotography ditto
Avocado (potassium)! Eat 1/2 as snack after dinner, hydrate, hydrate (electrolites grey celtic salt, Magnesium glycenatee).It's working for me while I become fat adapted 😊
Perfect. I am hypoglycemic. Whenever I go really low carb I immediately start having problems. I was always confused and couldn't figure out what was wrong.
Thank you so much.
do you get fast heart rate when you hypo?
@@Xbot4Life yes I do especially at night it seems to hit me worse then I panic and makes it worse
@@Wisethinker527 yeh lol thats how it is. Anxiety plays a part in it. Try increasing your protein by a lot. Seriously 4 eggs for breakfast and get protein shakes (low carb) in your diet. Hopefully help your liver produce glucose
@@Xbot4Life oh brilliant thanks for your advice. I think I'm not eating enough fat and protein that's the problem. But to be honest even when I do eat fat and protein I still get the lows in blood sugar
@@Wisethinker527 1 of two reasons.
1. Liver not producing glucose, do you have fatty liver? get tested. try my protein thing first
2. You have high insulin, eat lots of low GI foods for your carbs and plenty eggs and high quality whey powder. That should reduce insulin in a few days but do it for at least a week.
buy Choline and Milk Thistle.
Im assuming you have non-diabetic hypoglycaemia.
if youre diabetic then listen to Jason Fung on YT
Either way, it can be fixed, its just finding what the cause is
It's so hard to find info with someone with non diabetic hypoglycemia.
I have it
I have it too
I agree . Cannot do Keto as than my hypo is present
I've had it since I was a child. Most doctors I've ever seen think it doesn't exist. . . I eat keto/atkins style and it has made a tremendous difference in how my mind works, my digestion, my hunger hormones, weight gain, my energy levels, and overall mood. I have found for myself that its better to get a lot of non-starchy green vegetables in the diet [mostly for fiber, additional minerals/vitamins, and to slow down digestion] and monitor my hydration and electrolytes like a hawk in addition to eating fat and protein with every meal. I DO NOT feel good if I fast, and will be off-kilter most of the day after skipping meals. I stick to three small meals a day and snack as needed.
I have it
Excellent presentation as always Dr Ekberg. I think it would be very beneficial to provide video specifically on the strategy to become fat-adapted. We hear all the time how keto will result in becoming fat-adapted, but it would be great to understand the specific strategy.
@Oren Black Agreed! Thank you.
How did it go?
I think I need to do a gallbladder liver flush etc etc ..
@@MoneyStrategiesSOULutions How did it go with?
I had LOW BLOOD PRESSURE because i stopped eating sugar.
I noticed that my prostate drug (FLOMAX) would also lower my BP!
I couldn't stop the Flowmax!
Timing was the key!
I waited until noontime to take it and avoided the effects!
I was diagnosed hypoglycemic in 2000 weighing 175 pounds and 5’10”. August 2021 now 50Y/O I weighed 255 and started the keto diet. Clean and strict. Now 4 months later December 2021 I have lost 47 pounds. 2 days ago I started fainting. I have fainted 3 times in the last two days. 3 months ago. September. I had a physical. All was good but insulin was a touch high and blood pressure was a touch high. Yeah I know. I’m calling my dr. And getting my blood work rechecked. Just want to let people know if you don’t do this by the numbers stuff can happen. I’m learning more everyday. We’ll see what happens from here.
Thank you so much Dr! I had an hypoglycemia right now on my 3rd keto day. Previously eating sugar cakes for 4 years. I will step in gradually ... Keep motivation on 💪🔥
Avocado (potassium)! Eat 1/2 as snack after dinner, hydrate, hydrate (electrolites grey celtic salt, Magnesium glycenatee).It's working for me while I become fat adapted 😊
Another top notch episode, especially as a Type 1 Diabetic. I started Keto about 4 weeks ago and great results so far. Insulin down from 75 to 20, ketone level always between 3.5 and 4.0, 36 hour fast was great, and lost 11 pounds and 2 inches from stomach. Your videos are informative and inspirational! Thanks so much!
Do you measure insulin levels at home? is a there a meater I can get for this?
@DaryaRyanPhotography no there isn't.. not yet. They are type 1 diabetic so the insulin they reduced is their INJECTED insulin, not blood insulin levels. 🙏
Thank you, this was very useful. It explains what is happening to me exactly. I will add back some good carbs and drop them slowly. I went to drinking alcohol every day to strick keto. Bad idea. I thought I developed diabetes.
Hello Dr. Ekberg, thank you so much for all this infos!
I have adrenal fatigue... so I think it would be safer to start moderate/low carb, about 50g carbs from veggies and some starch and to lower very very slow and give the body the time to learn burning fat for fuel, and then slowly go keto
Avocado (potassium)! Eat 1/2 as snack after dinner, hydrate, hydrate (electrolites grey celtic salt, Magnesium glycenatee).It's working for me while I become fat adapted 😊
I have done Keto for two years with excellent results but now I was diagnosed with insulinoma and due to my symptoms I had to stop Keto. I hope to have the tumour removed and go back to Keto
After 4 days of Keto,my blood sugars dropped to 0,49 G/L!! I didn't feel too bad yet,but as you said better to go slowly...
Through glucose testing and ketone testing, i've learned a lot about what foods to eat and how much proportion. These videos have been really helpful. Thank you!
I agree with you Dr Ekberg., I do okay on lower carbs like 65 gram total carbs, I do not do well on a ketogenic diet. My HBA1c is now at 5.4% from 7.6.% Three years ago. I have lost 85 lb,yes I hope to 20 more lb, but more to lower my blood sugar and improve my sleep apnea.
Hello James. Do you have OSA ? What is your sleep apnea situation right now. I have severe OSA and try to fix it with Keto +If
Thank you so much Dr. Awesome explanation. I was in strict paleo diet for tha past 52 months. But now I am in carnivore diet.But sometimes I feel hypoglycemia. At that time what's the remedy? Please explain in your next video. Thanks 👍
Doctor, I really loved this video. I am type 2 diabetic and I have been slowly going keto for the last year. I still have sweet potato once awhile. The other day I was working out with my trainer and I noticed I was really shaky and had to drink a random grapefruit juice my husband had on his side of the fridge. I have never felt myself crash so hard. Could you possibly do a video or give any advice on how to avoid hypoglycemia and the dreaded crash. You touched on it a bit in this ☝️ should I be glucose monitoring. My last bloodwork panel showed my type 2 was finally stabilized but my cholesterol was still high. Could this be a factor for my crash? Thanks for the advice!
Thanks, today was my 6th day of Keto, but tonight was about to lose consciousness, had checked blood pressure and blood sugar , blood pressure was normal but blood sugar was 62 mg/dl, so I ate sugar, had no choice
Go slower
buy glucose pills for emergency instead of sugar.
Thank you doc, i have a friend with hypoglycemia in hospital. She went in as a T2 diabetic for an operation and her blood sugar dropped really fast.
My sugar dropped to about 60 today and i felt fine but it still shocked me. I've done keto and IF before and done great.
I’m absolutely trying this. Got diagnosed with hypoglycemia a few weeks ago and I’ve been struggling on how to cure it. Not bandage it. Wish me luck! 😊
Hey how did they diagnose you? And are you doing better now?
Fasting for 6 days. Tonight my Glucose 36 ketones 5.6. It’s the lowest I’ve been so far. I wasn’t feeling badly, just some minor cramps in my calf muscles. Decided to switch from fasting to time restricted eating once a day.
Could you also do a video on reactive hypoglycemia? When intermittent fasting 16-8 I'm often experiencing lowered blood glucose after eating in the afternoon, and it makes me feel fatigued and sluggish after eating. Have I become too insulin sensitive? Am I eating food that causes the insulin to spike without increasing blood glucose at all? I have never been overweight or insulin resistant, I have just been eating gradually more and more low carb over the years as a preventative measure. Lately I have also started intermittent fasting and eating two meals a day. I typically eat lunch around 2-3 in the afternoon and dinner around 7-8 in the evening. Now I'm considering extending my fast to a 20-4 pattern and eating nothing before dinner, just to avoid that feeling of low energy level after lunch....
Update: I was still hanging on to a few of the old carbs when I had this problem. Now I have been completely keto for the last 6 months or so, and I have gradually had less problems with reactive hypoglycemia during this time. I guess it just takes a while to get properly adapted...
If hypoglycemic after eating, insulin is high. The only explanation is insulin is high all the time, when you say it goes low without eating. That is hyperinsulinemia if not insulin resistance. This video is what you explined 🤗
Yes, the quality of the carbs could be the problem. If it's processed bread, pasta, high glycemic index foods/fruits or smoothies, it's too much to be digested in a short period of time and pancreas releases too much insulin... makes us RH'ers too tired. Eat a lot of veggies, 7-10 cups spread over the 2 meals, eggs, low fat meats, healthy fats such as nuts, seeds and Avocados, low glycemic fruit like berries. I find when I do those things, and if I have whole wheat bread, minimize my bread carbs to one piece, I have a better time with it (up to 20 net carbs/ meal), it helps.
Go strait carnivore. Chicken and fish season salt and garlic. Thats it. Try it.
Great information! Thank you! I needed this information but I still struggle with hypoglycemia. I was raised on real food my entire life. I'm 62 and weigh 125 lbs. Never more than 130 in my life. I want to continue to eat this way (Keto) but my blood sugar drops so low, get the shakes, sweat profusely, can't stand up. I throw some carb down and I come out of it. What's up? Feels like I'm forced to eat food that I don't want. Any ideas?
I want to know this too!
I'm a nurse and I should have seen the signs. I've been on keto for 6 months and I'm faithful to the regime. I've lost over 50 pounds. I've been doing Intermittent fasting. I was feeling a bit woozy last night. It occurred to me to take my blood glucose level. It was 52. The number freaked me out a bit. I asked myself "What would you do if you were your patient"? I knew I needed carbs but I didn't want to slam sugar.( the nursing protocol is orange juice or this sugar goo in a packet). I ate some lentils with tomato sauce. Good enough. My BGL was 87 in a few hours. I'll be more careful in the future.
Thanks so much. This has been my issue past 40 years
Man, this is EXACTLY what I needed to learn! Thank you so much, Dr. E!!!
Good thing I chanced upon your video bec just this morning that i was surprised to see my blood sugar dropped to 3.5mmol. Was in high carbs and went to clean keto right away. Been Doing this for 3 wks now and trimmed my weight fr 60kg to 51kg but felt dizzy as days go by. Now i know to add little carbs and perhaps do paleo diet instead.
I am so thankful for your lectures. I run full 3day fasting successfully, but before that i suffered from hypoglycemia. all this time i hardly believed that i will not be able to skip certain eating times, but now i see that connection much clearly. it is already 2nd week of OMPD with Keto, and i feel much more energetic, also weight is going down what i couldn't move for even a kg for many years.
Before that i was already familiar with water meanings so this part was easy for me. It was risky, but i felt i have to try such combination and i feel free. Thank you!
Water meanings?
This is such a great and informative video. I have learned so much on a scientific level since water fasting. On day 10 of 40.
My glucose was 41mgdl and I felt fine!
Thank you for this!!! Exactly what I needed to know. I started keto last March and 1week into it a all of a sudden got instantly dizzy and hyperglycemia and had bad panic attacks and ended up in the hospital! I was out on anti anxiety meds on and off the last year and the last one ( mirtazapine ) I just got off of and I’ve been having hormonal issues and mainly sweaty feet on and off along with hungry every two hours or so the past few weeks. 🤦🏻♀️ Hope to be able to figure out what I need to do to reestablish hormonal / gut balance. How long does it usually take to rebalance your system if you’ve had such a crash like this? Any tips?? Thanks
Hey there - did you have any improvement with the hypoglycemia? If so, what worked for you and did it take awhile?
@@mattg7977 hi Matt 👋🏼 yes, I’m finally really stabilizing. My story is a bit complex because after my keto crash I also got covid which added more stress to my already stressed out body but I’m happy to say much better now 🙏🏼😌 when I tried the keto diet i basically went carnivore with it. I think because i went extreme with the diet along with yeeeears of being a high carb eater and junk food eater prior it was just too much for my system. 🤪 and then when i got covid and that just made things complicated for me. Of course everyone’s needs and journeys are different but that was mine and super grateful I’m much better 🙏🏼😌 i believe everything is figureoutable. 🙂 not sure what your story is but i hope you feel better soon!!
@@mattg7977 a few things I did that I feel helped me heal were lowering stress where I could. Being out in nature, grounding, meditation were a few helpful tools i used, pacing myself especially with exercise ( so slowly increasing and starting with things like gentle walks, stretching or qigong) and eating more Whole Foods like fruits, veggies, rice, potatoes, meats and natural fats like avocado. And of course patience. 🙂
That helps some I guess. I started keto about 6 months ago for both type II and weight/blood pressure. Lost 60 lbs but suddenly stopped losing the weight and would like to drop another 20. My glucose isn't a problem normally now. I eat very few carbs, closer to 0 than 20 per day. My normal glucose all my life has been at 100 after fasting 12 hours. Now it's more in the 90's. Problem is I was fasting a little over a day about a week ago with glucose running in the 80's until it bombed to 66. I was instantly nauseated and dizzy to the point of fear of falling out.
That was not expected. I am definitely in ketosis and expected the ketones to be feeding my brain. Obviously not. Go figure.....
Kinda lost at the moment. No way this means I'm thinking of stopping keto. Far too many gains I've experienced to back up now. Not to mention the 60 lb loss and I'm not gaining an ounce since I froze.
Just wondering how to proceed from here.......
Love your channel. Appreciate your knowledge and service
I was on clean keto diet with IF , on 4th month my body system crashed because after I passed 3rd month I started doing morning walk for 2 hrs and swim for 1-2 hrs. I made a mistake for not fueling enough before and after endurance workout! Also I forgot the rule of keto for not doing endurance exercise while long hrs dry fast! I was rushed to ER with heart palpitations, very weak body almost faint, whole body I felt like dying from heart attack. Doctor did ECG for my heart with excellent result! My heart health is perfect! They put needles and have two bottles of medicines/vitamins into my body! After 2 hrs treatments in the hospital. I am now recovering with vitamins, some digestion pills, introducing more carbs to my keto ( fruits like banana, papaya, raw oat and green vegetables). Still I am continuing my keto but if I am into my workout I prepare my body with fuels also post WO! I feel much better now.
Probably low on salt to
The fasting cause the crash. Sorry to hear
Just had this exact thing happen to me almost a trip to the hospital!!
thanks, this was helpful
Love your videos, you are so clear, a great teacher! I was diagnosed with type 2 in September A1c 17!! Went on low carb and meds. Made excellent progress. A1c in Jan 6.3. Came off all meds in early December. Bloods in 5s - 7s IF 16:8 going well. Today had low carb lunch as usual, this evening BG 3.9. What is happening? why so low when used to low carb and not on meds? Can I trust what I'm doing? Blood went up after I ate. Would love your opinion, thanks
Thank you so much for this video!!! It confirmed so much of what I already have learned. Thank you so very much!
I like everything it's a very good explanation. Thank you so much 😊
This might be me after almost one year of low carb I have severe chronic hypoglycemia symptoms that no doctor could ever explain to me. I need to sit all day and get exhausted after very short walks. I have heavy chronic disbyosis, dead teeth’s, knee pain, my liver might be so weak due to the toxins from the bacterias that the liver can’t regulate the sugar levels and I get stressed out due to too much cortisol, I have literally all the symptoms of hypoglycemia, just a few steps before going to the hospital. Ate two potatoes this evening and already feel better and have less cravings. I hope adding starches will ease my hypoglycemia long term and that I can one day solve my dental and digestion issues. Wish me luck. Would be so nice to have a doctor like him where I live.
Josh, you probably need to work on fixing disbyosis first before you can tackle hypoglycemia.
This video was GODSEND! Thank you, you have NO idea how much you've helped me. An answered prayer. God bless you =)
Great video and information. Your approach to disseminating knowledge is powerful to the extent that the audience will hardly miss whatever information is being put forward.
Yeah, thats my case. On keto for 3 weeks now and experienced ketosis twice so far, each time for around 10h. But mostly feeling like crap and barely can function normally. Yeah, but I have liver issues so maybe that is why. If I do just a small amount of carbs - everything goes back to normal. But still trying not to going back to carbs - ketosis is mind blowing.
Avocado (potassium)! Eat 1/2 as snack after dinner, hydrate, hydrate (electrolites grey celtic salt, Magnesium glycenatee).It's working for me while I become fat adapted 😊
@@JAnn319 in the end, it took me a year to get fat adapted.
What is the nutrition response testing? I would like to know more about this. I am curious.
I started keto because my non diabetic hypoglycemia was happening more and more.
Id like more info on slowly transitioning from high carb to low. I didn't have much trouble the first time i did keto, but its been 6 years and im starting over and im feeling ligh headed and thinking I need a slower start.
It’s been two months on Keto, and my heart beats rapidly.
Sounds like you need some minerals. Load up on magnesium and potassium.
Thank you, I take selenium, natural calm magnesium, potassium, boron, and iodoral. Heart still racing, I thought I maybe taking too much. Thanks again.
@@jennielunn2226 how are you feeling now? Did you find a solution to your rapid heart beat?
I'm currently three weeks in and my heart beat is up but at night it's worse, beats heavy. I've been doing 12g of salt a day. I had to eat some potatoes and toast the other day and felt much better. Next day I was up around the house doing DIY. Lots of people talk about electrolytes, but I'm not convinced as how comes as soon as I had carbs I was fine. I think some people can't keto adapt or have metabolic issues, I'm one of the unlucky ones. I think I'll keep trying but up my carbs a bit just enough to get me through then during day eat no carbs until I feel funny. This normally takes me out of Ketosis but by the evening I'm peeing ketones again, which is when I feel.weird, but it might help my body transition in time. There's not many Keto videos on this and this is the only video I've seen which relates to our issues.
@@plummetplum 12g? 6g should be as high as you go i believe
Hi Sten, I have a question. I have been clean Keto for 5 months as all going well. My blood Glucose has been coming down incrementally - at the start it was regularly 110-130 fasting so pre diabetic / diabetic levels although I was never diagnosed. Fasting levels are now generally 90-100 so much better. Last night however I decided to check my glucose 1 hour after eating and it came back as 76. I am not sure if this is something I need to worry about or whether it is just my body taking time to return to normality. It seems that I am still getting an insulin spike after eating to deal with carbs that I am no longer eating? Does that sound feasible to you? My meal last night was 1.7g of carb and 14.9g total carbs for the day. I would appreciate your thoughts on this - Thank you 🙏
My Hba1c was ideal at 4.8 , but I had bad arthritis pain , tried a low carb no carb mostly meat . My pain was gone ! I was using stevia in my coffee everyday and found out it causes hypoglycemia if youre doing a diet like that . Dang it ! Just cant win ☹️
Thank you for the explanation.
I went from a high carb, high sugar since I was a teenager. Reached 150 kilos at 60 and after watching your videos overnight I stopped all processed foods, anything with sugar and swopped oils to macadamia or cold pressed oil and only whole foods. I also stopped all fruit and any starchy vegetables. I wanted to stop inflamation and get my body in a better place. I have been doing this for 12 months and what I thought was anxiety my doctor says it was hyperglycaemia. I had to increase my intake to 300 calories 3 times a day with 3 150 calorie snacks inbetween. I still feel horrible and I dont know what I have to do to feel better. My type 2 diabetes as stabilised. I now weight 95 kilos and can now do more than I ever could but still feel horrid. Can you help me?
Thanks dr
You save my life
Thank you GS_ Sangha for sharing your story. That is great. I am so happy you have noticed a positive change. Keep it up!
Will protein based shakes help against the weakness feeling? Also, whom should I ask to do one of these nutritional response testings?
Every now and then mostly in the morning if I bend over to pick up something when I get back up I feel dizzy. I been on the keto diet for 9 months and I loss close to 80 lb.s I'm at a desired weight but what can I eat in the morning that will keep my blood sugar stabilized?
This is a great video. Seems i need to do some more work in order to make slower changes. Ive had a high carb, but natural carb diet. Gotta roll this back.
I’m not doing keto and I am 66 fasted and about 109 two hours after eating
I have been keto/carnivore for 2 years. For 18months I was very well all markers improved all issues resolved. Then I started to feel shaky and now insomnia too. It's scary.
I never had measurable Ketones.
I will now try adding in some complex carbs.
I will try adding back some carbs.
Make sure you're also getting enough protein, generally defined as 1 gram of protein per pound of ideal body weight. Some people might need more if you have severe injuries or women who are pregnant. This can be a challenge for women to get enough so it's good to track it for a week to see where you are. Not enough protein can cause both of those symptoms. Also check out Dr. Berry's video of signs of low protein. Salt can also be an issue. If you get dizzy when you stand you need more salt/electrolytes.
@@elizabethwhite1068
Thanks for your reply Elizabeth
Actually my problem may have been too much protein. I had some Advice from a LcHF GP. I was breaking down protein and making sugar, not burning fat. I did a 3 day Sardine fast which got my Ketones up and have stayed in ketosis by eating higher fat and moderate protein. My symptoms are all gone and I'm feeling very good again 😊
@@mariaberry6874 Excellent! Glad you were able to figure it out.
Low blood sugar and intermittent fasting with keto. Good idea or not?
I tried using a continuous glucose monitor (CGM) and I found I went hypoglycaemic at night. Didn’t have any ill effects but would be interesting if dr Ekburg could do a video on this.
I started KETO back in 2012 and stayed that way for a good while. But when stress in life gets to be too high, I will resort to comfort foods like ice cream/carbs. So my poor body had to keep going back and forth, adjusting when I'd fall off the wagon. I just came off such a time and went back to carnivore, which is good to stop the carb cravings, but for me it isn't sustainable especially with weight training. I started feeling shaky..... I knew it was my blood sugar, so I was eating about 1/2 apple before working out. Still didn't feel super but I figured it was b/c I was, once again, transitioning. Yesterday I was in a rush & just took my Perfect Amino drink w/some C powder..... a couple hours later while on the road I just ate 2 of my beef sticks. When I got home I felt REALLY shaky so took my blood and I was at 68. I immediately ate the rest of the apple, drank some organic heavy whipping cream mixed with soda water & a little stevia drops and laid down for a bit. It stabilized but it made me begin more research and I know I've got to start at a slower pace, which this video confirms..... AND stop with the up and downs with carbs. Thanks so much for this video. It really did explain a lot and confirmed my takeaway !
Good day Doc! Im into Intermittent Fasting "TMAD" Twice Meal A Day 16:8 Method for several months. Im TYPE 2 Dietetic for 22 years and on medication prescribed by my doctor. GLIBEN before Breakfast and METFORMIN after, GLIBEN again before Dinner and METFORMIN after.
I'd like to ask if there is an adjustment for my medication schedule since its probably Lunchtime already when I eat food?
watching from Philippines...
I started keto but here I am 2 months later getting dizzy spells, tingling in my arms, I passed out once, and extreme fatigue and anxiety. I wonder if this could by Hypoglycemia?
@drekberg what's the lowest glucose number before ketones won't be in use for fat burning?
5th week in keto lifestyle.
I make great ketones averaging 2.5, but blood glucose is 67-75... waking up at night because hypoglycemia
Thanks
Especially for a type 2 diabetic
Sir my wife went on keto diet nearly 4 months .she did it to prevent cancer growth. One month back she under gone sever hypoglycemic shock now she is some what stable .But tumor start increasing .is it right to start keto diet again.what measures I have to take to prevent hypoglycemic shock again?
Thank you for your common sense, healthy, approach to Keto!
Thank you
I started strict keto diet 1 year ago (carnivore), eating nothing but meat, diary and fruit (an apple per day). I have insuline resistance and IBS, both of which improved drastically. However, for the past week I started getting hypoglycemia episodes out of nowhere, I even lost conscious once. The doctors told me I should incorporate more carbs and that the fruit is not enough. Shouldn't my body have been adapted by now?
What testing you doing your office? How is this test done? I really need to show to my doctor. I’m a type one diabetic struggling to gain weight so please what testing do you do in your office? I think you mentioned in the video, it’s a test that tells you what is stressing the body organs, I don’t know your exact verbiage but I think you know I’m talking about if you could please tell me how you do this test on your patience so I could show my doctor to help me better🙏please, tysm
Great content. Thank you!
Never checked my blood glucose levels before, but I recently got a meter to check ketone levels and since it can check BG levels as well I thought I might as well check both. I freaked out when my BG reading was 73! As I understand it that is on the verge of hypoglycemia, and that wasn't even fast. I ate dinner about 5 hours previously though to be fair I haven't really had more than about 2g carbs all day. If that. I'm going to need to keep a close eye on it.
Could you please send a link to your Nutrition Response testing?
Thank you
Once you are in ketosis, how low can your blood sugar go before you need to worrie?
Kindly assist, what type of food are involved in keto diet?
What about while breastfeeding and/or pregnant? I was keto (mostly carnivore) before my first pregnancy (for around 6 months) and had no issues with hypoglycemia, even after abruptly cutting out carbs, but I added carbs back in when morning sickness struck, and I was averse to fat and protein. Since that pregnancy, I've tried countless times to get back on keto (through two more pregnancies and breastfeeding each baby without stop), but each time I get down to around 20g carbs (even after slowly easing out of carbs), I end up with severe hypoglycemia (with vomiting, extremely blurry vision, extreme weakness, almost passing out, etc.). Is it possible for breastfeeding to make 20g simply too low? Or is it more likely that I'm still not easing out of carbs slowly enough? I really want to be keto for my health, but I feel like I'm failing when I can't seem to stick to 20g carbs or fewer.
Thanks Doc ❤
Great video, thank you thank you❤️❤️
Thank you rockknocker99
Awesome video. Thanks!
Eat more protein on your keto diet and it will help. Because Protein reduces to glucose at the end of the day. It has other things obviously, but this is a much better method than carbohydrates imo. In summary don't go so hard on Keto, build up your ability. So start with more protein and not straight to a 75% fat. It won't end well.
Hi Dr.Sten does low carb diet or keto diet can induce insulin resistance i came across video witch tells that those type of diets can induce type 1 diabetes.I m on low carb diet under 100g a day .Recently start having morning headaches even felt sweat flashes ,presuming my insulin very low does it safe in general? Thank you.
Hello Dr. Ekberg,
Thank you for the wonderful nutritional education. I am 52 and eating a keto diet/IF and just started measuring my blood glucose and ketone levels, ketones were .09 - 1.5 and 81-86 glucose in the mornings. I decided to do a prolonged fast ( I have done a 10 day about a year ago, and a 5 day a few months ago without a problem, but no meter) At 34 hours into fast (morning) readings were 67 glucose, 2.0 ketones; 48 hours into the fast at 10:00 p.m. my glucose reading was 52, with a ketone of 4.8. My question is - is this okay? I realize this is low blood sugar, but since my ketones went up - providing an alternate fuel source - I am hoping this is not dangerous. Feeling tired, but that is usual for me on day 2 of a fast. My mom had hypoglycemia so, just a little worried, but would like to continue with fast if I can safely. Any help would be greatly appreciated.
Michelle
how do you measure your ketones and glucose? what tools are you using?
I get the exact same as you. my glucose was 3.8mmol/l (68.4mg/dl), ketones 1.8 It seems that when my ketone are very high, my glucose drops. A few weeks ago my Ketones were above 8 but I dont know how far above because the Keto Mojo only goes up to 8.0. I didn't think to check my glucose at the time.
If your blood glucose gets low, the right thing is to eat. Follow Dr Boz. She makes a lot of sense
Great video 👌🏽 thank you so much
So...my situation is that I once had low blood sugar, and many episodes indicating such (shakiness, weakness, brain fog, etc.), but NOW I have been struggling with elevated blood pressure (was high, but only reaches elevated last two weeks), and it's the worst feeling I have ever felt. I often feel like I could check out of here at any time, yet here I am. Haha. I have been fasting and such and doing Keto, but my research led me to discover that low blood sugar could actually cause HPB, which I thought was weird to switch from one to the other. Now I'm confused about what would be safe for me to do at this point. What should someone in my case do ?
This may well explain my tachycardia on day 5 of my keto diet, the same day my ketone strips were showing a large jump in ketones. I assumed the keto diet was putting my body under too much stress and the tachy was being caused by cortisol.
This makes so much sense! I have had low blood sugar the last 9 months (it started in pregnancy) Now that I am keto, it still drops! Interesting enough, I found carrots help this issue
Carrots are full of sugar so I would think so. It knocks you out of keto if you eat too much. Why do you think they are sweet?
@@jackdaniels9133 I agree they have sugar. I'm no longer keto btw. I discovered Mastering Diabetes on youtube and am almost healed! The keto diet was helping at first, but then I was progressively getting worse
@@brittneykrystal5722 nice good for you
@@brittneykrystal5722 what did you do exactly ? i need help
Check out Mastering Diabetes on youtube
Loved this one.. after years of bad lifestyle and poor food choices especially sugar , I stayed a week with no sugar than tried keto with intermittent fasting 24h 1 meal a day, after 3 days I felt weak, dizzy and almost fainted.. good thing that I stood down and had a glucose tablet and some sugar and carbs.. now I know I need to take it slower!
What if you have a low blood sugar and you feel perfectly well? Is it possible that you go on ketons or doing gluconeogeneis?
I do have Hypoglycemia on Keto diet (from 55 to as low as 41mg/dl).
You recommended add some carb back to my diet, however m, the problem is if I do that, the post-meal glucose spike will exceed 300mg/dl (from my CGM).
My endocrinologist has no idea at all. What should I do?
I’m nervous! I have decreased my carb intake and had steak green beans and a sweet potato last night and for breakfast steak and eggs and I went to take a walk before dinner and had to turn back couldn’t do 2 miles just one mile for feeling weird and light headed and ill
Took my temperature it was normal, took my blood sugar and it was 105.
It’s a good sign it’s coming down but it feels awful.
I drank some sea salt water and came to RUclips to figure out how come a little dip caused such commotion?
Dr. E., your example of hypoglycemia depicted in the video was a blood glucose of 15. Diagnostically, where does hypoglycemia start? I'm also aware that someone used to higher blood sugars can be symptomatic of hypoglycemia without actually being hypoglycemic - could you comment on that either here or in another video?
Thank you!!!
Thank You ✨✨✨✨